Rural Family Medicine

Rotation Goals and Objectives

  1. General Description
    1. The Department of Family and Community Medicine in cooperation with the Nevada AHEC program, provides a 4 week required rural rotation for all Family Medicine residents. This rotation is one of the unique aspects to our residency program. The resident will work alongside a community clinical faculty member in a designated rural community. One goal of this portion of the curriculum is to encourage residents to consider practicing in rural areas (including in Nevada) upon completion of residency training. Additionally, this rotation is an opportunity for residents to acquire knowledge and skills from a faculty member who practices in a rural setting.
    2. Residents are NOT expected to follow their patients in the Family Medicine Center during this rotation.
    3. Level: PG 2, 3, & 4 year
    4. Location: A rural community in Nevada that meets certain criteria for the program. The resident may work in an office setting, extended care setting and a hospital setting.
    5. Duration: One four week block
    6. Rural Family Medicine is a full time rotation.
    7. 3 - 4 half days per week will be spent in the Elko Family Medicine Center
    8. Participation in the Family Medicine call pool is NOT required during these rotations
    9. Work hour form submission is required at the completion of these rotations during work hour submission months.
    10. Evaluation of Rotation
      1. The evaluation of the resident on this rotation will be done by the completion of an evaluation form by the attending physician at the end of the rotation.
      2. The resident will fill out a rotation evaluation for at the end of the rotation.
      3. The knowledge, skills and competencies acquired during this rotation will be evaluated by a Family Medicine attending as the resident provides care to patients in the Family Medicine Center.
      4. The resident's performance on the American Board of Family Medicine In-Training examination will also be used to assess knowledge in this area.
  2. Patient Care skills to be mastered
    1. Performance of complete history taking
    2. Performance of complete physical examination
    3. The evaluation and treatment for common disorders for patients
    4. Develop an understanding of the utility of consultative services for physicians in rural areas.
    5. Develop an understanding of what multidisciplinary services are useful and available to patients in rural settings
  3. Medical Knowledge skills to be mastered
    1. An increasing knowledge base to care for the breadth of conditions that family physicians confront when providing comprehensive care to patients in rural settings will be achieved. Specific topics will be reviewed by the resident based on the disorders of the patients seen during the rotation.
  4. Practice Based Learning and Improvement
    1. This competency is addressed longitudinally throughout the rotation.
      1. Scientific evidence will be reviewed by the resident and attending physician in the context of their patients.
      2. The practical implementation of evidence-based medicine will be discussed as the medical decision making is reviewed.
      3. Information technology will be utilized by the resident as he or she is required to research topics as directed by the attending physician.
      4. The resident will also be evaluated on the steps they took during the rotation to improve their shortcomings.
  5. Interpersonal and Communication Skills
    1. This competency is addressed longitudinally throughout the rotation.
      1. The resident will observe and be observed, taught and evaluated in the performance of obtaining patient histories, documenting histories, writing prescriptions and orders, educating patients and families about treatment plans and prognosis, and interactions with patients, families, support staff and physicians.
  6. Professionalism
    1. This competency is addressed longitudinally throughout the rotation.
      1. The attending physician will observe and assess the resident's sense of personal responsibility including attendance, promptness, motivation, completion of duties, and appropriate dress.
      2. Ethical and legal practice skills will be taught
      3. Respect for cultural and age, differences will be taught, observed and evaluated.
      4. The resident is expected to treat patients, families and colleagues with respect, understanding, sympathy and honesty
  7. Systems Based Practice
    1. This competency is addressed longitudinally throughout the rotation.
      1. The resident will learn to become aware of available resources and the cost effectiveness of testing and therapeutic options for patients in rural settings
      2. The resident will gain an increasing understanding of the role of the patient, physician, support staff, and insurer in the health care environment
      3. The resident will become aware of the available resources in the rural community in which they are assigned.

Revision: July 2018 by Brittney Espinoza